How plan sponsors can use tech, AI to prevent benefits fraud
by Benefits and Pension Monitor
April 30, 2025
The Data Pooling Program, which she highlighted as the most technologically advanced of the three, uses AI to flag fraud across shared industry data.
“Our goal with this tool is to enhance each of the data analytics that exists in each one of our insurers,” she said. “The idea here is to complement their programs, identify fraud sooner and identify fraud that may not be uncovered by a single insurer on their own.”
CLHIA partnered with Shift Technology to power the platform. Shift uses advanced algorithms to aggregate the information, analyze industry-wide claims data and returns alerts through a web-based interface, which insurers can then choose to investigate.
